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The Secret of Gritflowness - October 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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I replace about a thousand knees a year and treat each one as a unique case when restoring the joint's normal range of motion and stability. Soft tissues guide me to how the knee was positioned before the degenerative effects of osteoarthri- tis changed the bone alignment. Based upon how the knee moves with all the muscles, ligaments and tendons intact, I deter- mine how the native knee was aligned, and adjust placement of the implant to match it. I've developed micro-shims to move the knee around by minute amounts — up and down, right and left, back and forth. After I place the implant and put the knee through an entire range of motion, the joint's surface areas remain in perfect contact throughout. This leads to a more stable joint, which results in less pain for the patient and better post-op function. 5 2 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 2 0 Finding the Right Fit for Knee Replacements Understand the keys to delivering successful outcomes with the newest generation of implants. PERFECT FIT The key to a superior knee replacement is to match it to the location of the original, pre- arthritic knee. Richard A. Berger, MD | Chicago Pamela Bevelhymer, RN, BSN, CNOR

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